MEDICARE: GWENDOLYN DENISE BETHEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LGP14322	MD

General Provider Information

NPI Number	:	1760315790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GWENDOLYN DENISE BETHEL

Provider Business Mailing Address
First Line	:	3801 SCHNAPER DR APT 124
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-2728
Country	:	US
Telephone Number	:	443-801-0871
Fax Number	:	443-801-0871

Provider Business Practice Location Address
First Line	:	8109 HARFORD RD STE B
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-9205
Country	:	US
Telephone Number	:	877-500-0595
Fax Number	:	443-539-3020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1043283674 — MICHAEL DAVID SUTER MD
Practice Location Address:

8109 HARFORD RD , STE E
PARKVILLE, MD
21234-9205

Practice Phone: 410-665-4403
Practice Fax: 410-661-5087

1972677789 — PATRICIA WILSON LCSW-C
Practice Location Address:

8109 HARFORD RD , SUITE 2
PARKVILLE, MD
21234-9205

Practice Phone: 410-665-2900
Practice Fax:

1518000991 — DRAGOS L. POPESCU M.D.
Practice Location Address:

8109 HARFORD RD , SUITE B
PARKVILLE, MD
21234-9205

Practice Phone: 410-882-2648
Practice Fax: 410-663-0507

1043492556 — MICHAEL D SUTER MD LLC
Practice Location Address:

8109 HARFORD RD , SUITE E
PARKVILLE, MD
21234-9205

Practice Phone: 410-665-4403
Practice Fax: 410-661-5087

1235399320 — NATHANIEL EUGENE CARLISLE LCPC
Practice Location Address:

8109 HARFORD RD
PARKVILLE, MD
21234-9205

Practice Phone: 410-665-2900
Practice Fax:

1417197799 — MICHAEL JOSEPH PAPA LCSW-C
Practice Location Address:

8109 HARFORD RD
PARKVILLE, MD
21234-9205

Practice Phone: 410-665-2900
Practice Fax:

Directions to “ GWENDOLYN DENISE BETHEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.